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General NPI Number Information
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NPI Number | 1134628712
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Entity Type | Organization
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Legal Business Name | NORTHERN CALIFORNIA VASECTOMY
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 9401 E STOCKTON BLVD STE 130
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City | ELK GROVE
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State | CA
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Zip | 95624-5051
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Country | US
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Telephone | 877-628-7647
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Fax | 877-628-7647
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Provider Business Mailing Address
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Address Line | 9045 BRUCEVILLE RD STE 100B
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City | ELK GROVE
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State | CA
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Zip | 95758-5950
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Country | US
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Telephone | 916-627-1117
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Fax | 916-226-2656
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | CHIRAG PATEL
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Credential | MD
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Telephone | 916-627-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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